Quality of life among people living with hypertension in a rural Vietnam community

Background - To respond to growing prevalence of hypertension in Vietnam, it is critical to have an in-depth understanding about quality of life (QOL) among people living with hypertension and related factors. This study aimed to measure QOL among hypertensive people in a rural community in Vietnam, and its association with socio-demographic characteristics and factors related to treatment. Methods - This study was conducted in a rural community located 60 km from Ho Chi Minh City. Face-to-face interviews were conducted among 275 hypertensive people aged 50 years and above using WHOQOL-BREF questionnaire. Descriptive statistics were used to examine mean scores of quality of life. Cronbach’s alpha coefficient and Pearson’s correlation coefficient were applied to estimate the internal consistency, and the level of agreement between different domains of WHOQOL-BREF, respectively. Independent T-test and ANOVA test followed by multiple linear regression analyses were used to measure the association between QOL domains and independent variables. Results - Both overall WHOQOL-BREF and each domain had a good internal consistency, ranging from 0.65 to 0.88. The QOL among hypertensive patients was found moderate in all domains, except for psychological domain that was fairly low (mean = 49.4). Backward multiple linear regressions revealed that being men, married, attainment of higher education, having physical activities at moderate level, and adherence to treatment were positively associated with QOL. However, older age and presence of co-morbidity were negatively associated with QOL. Conclusion - WHOQOL-BREF is a reliable instrument to measure QOL among hypertensive patients. The results revealed low QOL in psychological domain and inequality in QOL across socio-demographic characteristics. Given the results, encouraging physical activities and strengthening treatment adherence should be considered to improve QOL of hypertensive people, especially for psychological aspect. Actions to improve QOL among hypertensive patients targeted towards women, lower educated and unmarried patients are needed in the setting

Extensive Gene-Specific Translational Reprogramming in a Model of B Cell Differentiation and Abl-Dependent Transformation

To what extent might the regulation of translation contribute to differentiation programs, or to the molecular pathogenesis of cancer? Pre-B cells transformed with the viral oncogene v-Abl are suspended in an immortalized, cycling state that mimics leukemias with a BCR-ABL1 translocation, such as Chronic Myelogenous Leukemia (CML) and Acute Lymphoblastic Leukemia (ALL). Inhibition of the oncogenic Abl kinase with imatinib reverses transformation, allowing progression to the next stage of B cell development. We employed a genome-wide polysome profiling assay called Gradient Encoding to investigate the extent and potential contribution of translational regulation to transformation and differentiation in v-Abl-transformed pre-B cells. Over half of the significantly translationally regulated genes did not change significantly at the level of mRNA abundance, revealing biology that might have been missed by measuring changes in transcript abundance alone. We found extensive, gene-specific changes in translation affecting genes with known roles in B cell signaling and differentiation, cancerous transformation, and cytoskeletal reorganization potentially affecting adhesion. These results highlight a major role for gene-specific translational regulation in remodeling the gene expression program in differentiation and malignant transformation

The emergence of G8P[8] rotavirus group A across Vietnam.

Group A rotaviruses (RoV) are highly transmissible, globally ubiquitous, and are the principal cause of acute gastroenteritis in children. RoV are non-enveloped double-stranded RNA viruses comprised of 11 independent gene segments, encoding six structural proteins (VP1–VP4, VP6 and VP7) and five nonstructural proteins (NSP1– NSP5/6). Reassortment of viral segments can occur when a single cell is co-infected with two or more viruses, yielding mixed progeny with gene segments derived from multiple parental strains. Within a hospital-based study conducted to determine the etiology of diarrhea in five provincial hospitals located across Vietnam from 2012 to 2015, we detect RoV in 50.2% of all cases (678 RoV-positive/1,350 diarrhea cases)

The control of Typhoid fever in Vietnam

Typhoid fever, caused by Salmonella enterica serovar Typhi (S. Typhi), is a diminishing public health problem in Vietnam, and this process may represent a prototype for typhoid elimination in Asia. Here, we review typhoid epidemiology in Vietnam over 20 years and assess the potential drivers associated with typhoid reduction. In the 1990s, multidrug resistant S. Typhi were highly prevalent in a sentinel hospital in southern Vietnam. A national typhoid incidence rate of 14.7/100,000 population per year was estimated around the new millennium. The Vietnamese government recognized the public health issue of typhoid in the 1990s and initiated vaccine campaigns to protect the most vulnerable members of the population. At their peak, these campaigns immunized approximately 1,200,000 children in 35 provinces. Concurrently, Vietnam experienced unprecedented economic development from 1998 to 2014, with the gross national income per capita increasing from $360 to$1,890 over this period. More recent typhoid incidence data are not available, but surveillance suggests that the current disease burden is negligible. This trajectory can be considered a major public health success. However, a paucity of systematic data makes it difficult to disaggregate the roles of immunization and water, sanitation, and hygiene (WASH) interventions in typhoid reduction in Vietnam. Given the limitations of typhoid vaccines, we surmise the practical elimination of typhoid was largely driven by economic development and improvement in general population living standards. Better designed WASH intervention studies with clinical endpoints and systematic incidence data are essential to glean a greater understanding of contextual factors that impact typhoid incidence reduction

A50 The emergence of G8P[8] rotavirus group A across Vietnam

Group A rotaviruses (RoV) are highly transmissible, globally ubiquitous, and are the principal cause of acute gastroenteritis in children. RoV are non-enveloped double-stranded RNA viruses comprised of 11 independent gene segments, encoding six structural proteins (VP1–VP4, VP6 and VP7) and five nonstructural proteins (NSP1– NSP5/6). Reassortment of viral segments can occur when a single cell is co-infected with two or more viruses, yielding mixed progeny with gene segments derived from multiple parental strains. Within a hospital-based study conducted to determine the etiology of diarrhea in five provincial hospitals located across Vietnam from 2012 to 2015, we detect RoV in 50.2% of all cases (678 RoV-positive/1,350 diarrhea cases)

The control of Typhoid fever in Vietnam

Typhoid fever, caused by Salmonella enterica serovar Typhi (S. Typhi), is a diminishing public health problem in Vietnam, and this process may represent a prototype for typhoid elimination in Asia. Here, we review typhoid epidemiology in Vietnam over 20 years and assess the potential drivers associated with typhoid reduction. In the 1990s, multidrug resistant S. Typhi were highly prevalent in a sentinel hospital in southern Vietnam. A national typhoid incidence rate of 14.7/100,000 population per year was estimated around the new millennium. The Vietnamese government recognized the public health issue of typhoid in the 1990s and initiated vaccine campaigns to protect the most vulnerable members of the population. At their peak, these campaigns immunized approximately 1,200,000 children in 35 provinces. Concurrently, Vietnam experienced unprecedented economic development from 1998 to 2014, with the gross national income per capita increasing from $360 to$1,890 over this period. More recent typhoid incidence data are not available, but surveillance suggests that the current disease burden is negligible. This trajectory can be considered a major public health success. However, a paucity of systematic data makes it difficult to disaggregate the roles of immunization and water, sanitation, and hygiene (WASH) interventions in typhoid reduction in Vietnam. Given the limitations of typhoid vaccines, we surmise the practical elimination of typhoid was largely driven by economic development and improvement in general population living standards. Better designed WASH intervention studies with clinical endpoints and systematic incidence data are essential to glean a greater understanding of contextual factors that impact typhoid incidence reduction

The emergence of G8P[8] rotavirus group A across Vietnam.

Group A rotaviruses (RoV) are highly transmissible, globally ubiquitous, and are the principal cause of acute gastroenteritis in children. RoV are non-enveloped double-stranded RNA viruses comprised of 11 independent gene segments, encoding six structural proteins (VP1–VP4, VP6 and VP7) and five nonstructural proteins (NSP1– NSP5/6). Reassortment of viral segments can occur when a single cell is co-infected with two or more viruses, yielding mixed progeny with gene segments derived from multiple parental strains. Within a hospital-based study conducted to determine the etiology of diarrhea in five provincial hospitals located across Vietnam from 2012 to 2015, we detect RoV in 50.2% of all cases (678 RoV-positive/1,350 diarrhea cases)

Demonstration of Enhanced Piezo-Catalysis for Hydrogen Generation and Water Treatment at the Ferroelectric Curie Temperature

© 2020 The Author(s) Hydrogen can contribute significantly to the energy mix of the near future, as it is an attractive replacement for fossil fuels due to its high energy density and low greenhouse gas emission. A fascinating approach is to use the polarization change of a ferroelectric due to an applied stress or temperature change to achieve piezo- or pyro-catalysis for both H2 generation and wastewater treatment. We exploit low Curie temperature (Tc) ferroelectrics for polarization-driven electrochemical reactions, where the large changes in polarization and high activity of a ferroelectric near its Tc provides a novel avenue for such materials. We present experimental evidence for enhanced water splitting and rhodamine B degradation via piezo-catalysis by ultrasonic excitation at its Tc. Such work provides an effective strategy for water splitting/treatment systems that employ low Tc ferroelectrics under the action of mechanical stress or/and thermal fluctuations

The characterization of ESBL genes in Escherichia coli and Klebsiella pneumoniae causing nosocomial infections in Vietnam.

BACKGROUND: Extended-spectrum β-lactamases (ESBLs) are enzymes capable of hydrolyzing oxyimino-β-lactams and inducing resistance to third generation cephalosporins. The genes encoding ESBLs are widespread and generally located on highly transmissible resistance plasmids. We aimed to investigate the complement of ESBL genes in E. coli and Klebsiella pneumoniae causing nosocomial infections in hospitals in Ho Chi Minh City, Vietnam. METHODOLOGY: Thirty-two non-duplicate isolates of E. coli and Klebsiella pneumoniae causing nosocomial infections, isolated between March and June 2010, were subjected to antimicrobial susceptibility testing. All isolates were PCR-amplified to detect the blaSHV, blaTEM and blaCTX-M ESBL genes and subjected to plasmid analysis. RESULTS: We found that co-resistance to multiple antimicrobials was highly prevalent, and we report the predominance of the blaCTX-M-15 and blaCTX-M-27 genes, located on highly transmissible plasmids ranging from 50 to 170 kb in size. CONCLUSIONS: Our study represents a snap shot of ESBL-producing enteric bacteria causing nosocomial infections in this setting. We suggest that antimicrobial resistance in nosocomial E. coli and Klebsiella pneumoniae is rampant in Vietnam and ESBL organisms are widespread. In view of these data and the dramatic levels of antimicrobial resistance reported in Vietnam we advocate an urgent review of antimicrobial use in the Vietnamese healthcare system